[104-10222-10038.pdf — page 167]
# SECRET(When Filled In)## FITNESS REPORT (Part I) PERFORMANCEINSTRUCTIONSFOR THE ADMINISTRATIVE OFFICER: Consult current instructions for completing this report.FOR THE SUPERVISOR: This report is designed to help you express your evaluation of your subordinate and to transmit this evaluation to your supervisor and senior officials. Organization policy requires that you inform the subordinate where he stands with you. Completion of the report can help you prepare for a discussion with him of his strengths and weaknesses. It is also organization policy that you show Part I of this report to the employee except under conditions specified in Regulation 20-170. It is recommended that you read the entire form before completing any question. If this is the initial report on the employee, it must be completed and forwarded to the Office of Personnel no later than 30 days after the date indicated in item A, of Section A below.SECTION A.|                 || --------------- || 1. NAME         || (Lost)   BAGLEY || (First) Tennent || (Middle) H.     ||                  || ---------------- || 2. DATE OF BIRTH || 11 Nov 1923      ||                            || -------------------------- || 3. SEX M                   || 5. OFFICIAL POSITION TITLE || I.O.(CI)                   ||                           || ------------------------- || 4. SERVICE DESIGNATION DI |6. OFFICE/DIVISION/BRANCH OF ASSIGNMENT   DDP/EE/P|                                || ------------------------------ || 7. GRADE  GS-12                || 10. TYPE OF REPORT (Check one) || INITIAL                        ||                                                               || ------------------------------------------------------------- || 8. DATE REPORT DUE IN OP 24 July 1956.                        || 9. PERIOD COVERED BY THIS REPORT (Inclusive dates)            || October 1955 - 24 July 1956. READSIGNMENT-SUPERVISOR-EMPLOYEE |SPECIAL (Specify)SECTION B.|                               || ----------------------------- || 1. FOR THE RATER: THIS REPORT || HAS NOT                       |CERTIFICATIONHAS NOT BEEN SHOWN TO THE INDIVIDUAL RATED. IF NOT SHOWN, EXPLAIN WHYA. CHECK (X) APPROPRIATE STATEMENTS!|                                                                    || ------------------------------------------------------------------ || THIS REPORT REFLECTS MY OWN OPINIONS OF THIS INDIVIDUAL. X VISUAL. |THIS REPORT REFLECTS THE COMBINED OPINIONS OF MYSELF AND PREVIOUS SUPERVISORS.IF INDIVIDUAL IS RATED "I" IN C1 OR D, A WARNING LETTER WAS SENT TO HIM & A COPY ATTACHED TO THIS REPORT,CANNOT CERTIFY THAT THE RATED INDIVIDUAL KNOWS HOW TO EVALUATE HIS JOB PERFORMANCE BECAUSE (Specify):|                                                                                                      || ---------------------------------------------------------------------------------------------------- || I HAVE DISCUSSED WITH THIS EMPLOYEE HIS STRENGTHS X AND WEAKNESSES SO THAT HE KNOWS WHERE HE STANDS. ||                        |                                                                                     || ---------------------- | ----------------------------------------------------------------------------------- || B. THIS DATE  6 Aug 56 | C. TYPED OR PRINTED NAME AND SIGNATURE OF SUPERVISOR D. SUPERVISOR'S OFFICIAL TITLE || Howard E. Reman        | Chief, EE/P                                                                         |2. FOR THE REVIEWING OFFICIAL: RECORD ANY SUBSTANTIAL DIFFERENCE OF OPINION WITH THE SUPERVISOR, OR ANY OTHER INFORMATION, WHICH WILL LEAD TO A BETTER UNDERSTANDING OF THIS REPORT.BYDATEPosted Pos. ControlReviewed by FUOATTACHED SHEETI certify that any substantial difference of opinion within the supervisor is reflected in the above section.|                         |                                                                                             || ----------------------- | ------------------------------------------------------------------------------------------- || A. THIS DATE  29 Aug 56 | B. TYPED OR PRINTED NAME AND SIGNATURE OF REVIEWING C. OFFICIAL TITLE OF REVIEWING OFFICIAL || William Hood            | EE/COP                                                                                      |SECTION C.JOB PERFORMANCE EVALUATION1. RATING ON GENERAL PERFORMANCE OF DUTIESDIRECTIONS: Consider ONLY the productivity and effectiveness with which the individual being rated has performed his duties during the rating period. Compare him ONLY with others doing similar work at a similar level of responsibility. Factors other than productivity will be taken into account later in Section D.|                                                                                                                                      || ------------------------------------------------------------------------------------------------------------------------------------ || 1 - DOES NOT PERFORM DUTIES ADEQUATELY, HE IS INCOMPETENT.                                                                           || 2 - BARELY ADEQUATE IN PERFORMANCE: ALTHOUGH HE HAS HAD SPECIFIC GUIDANCE OR TRAINING, HE OFTEN FAILS TO CARRY OUT RESPONSIBILITIES. || 3 - PERFORMS MOST OF HIS DUTIES ACCEPTABLY: OCCASIONALLY REVEALS SOME AREA OF WEAKNESS.                                              || 4 - PERFORMS DUTIES IN A COMPETENT, EFFECTIVE MANNER.                                                                                || 5 - A FINE PERFORMANCE: CARRIES OUT MANY OF HIS RESPONSIBILITIES EXCEPTIONALLY WELL.                                                 || 6 - PERFORMS HIS DUTIES IN SUCH AN OUTSTANDING MANNER THAT HE IS EQUALLED BY FEW OTHER PERSONS KNOWN TO THE SUPERVISOR.              |6INSERT RATING NUMBERCOMMENTS:FORM NO. 45 (Part 1)REPLACES PREVIOUS EDITIONS OF FORMS 45 AND 45A WHICH ARE OBSOLETE.SECRETPerformance(4)